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Knee Intercondylar Fracture Treatment, Closed

Michigan rates for HCPCS 27538

This treatment addresses a fracture at the top of the shinbone where knee ligaments attach, sometimes called a tibial spine fracture. The break is treated without opening the knee, using a cast, brace, or gentle manipulation of the joint from outside the skin to allow the bone fragment to heal in position. It is most common after a twisting injury to the knee, especially in children and teenagers.

Rates data updated July 2026.

How much does Knee Intercondylar Fracture Treatment, Closed cost?

$2,617

Typical total for the visit. In Michigan, July 2026.

Insurers have agreed to pay about $2,617 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $2,042 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$575$457 to $692
Facility feeThe hospital or surgery center$2,042$617 to $4,898

How much rates vary

Facilitymedian $2,042 · 10th to 90th $234 to $4,898Professionalmedian $575 · 10th to 90th $417 to $891
$200.0$500.0$1.0K$2.0K$5.0Kfacility $2,042professional $575

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$707.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$831.76
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$831.76
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,041.74
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$691.83
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$537.03
Typical High
$724.44

Where Michigan sits

The same service costs 9.6 times more in New Jersey than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMichigan $2,617 · 17th of 49
NJ $5,860MD $613

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.